Individual
MS. KELLIE GRAPPERHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
935 BRYANT ST, LOUISVILLE, IL 62858-1053
(618) 665-4500
(618) 665-4050
Mailing address
935 BRYANT ST, LOUISVILLE, IL 62858-1053
(618) 665-4500
(618) 665-4050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009894
IL
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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